title: [About the need of restructuration of medical care of older than able-bodied population].
abstract: The article deals with the results of study of factual volumes of medical care according its main services provided to total population and to people older than able-bodied population in Nizhny Novgorod oblast. The study demonstrated that during last ten years, the character of organization and application of main volumes of medical care to people older than able-bodied population factually had no changes and does not correspond to the planned volumes of territorial program of public guarantees of free medical care. The increase of volume of emergency medical care in functioning of ambulance and emergency care service shortens possibilities of emergency medical care support and promote misallocation of financial resources. The level of medical care support of people older than able-bodied population in day-and-night hospitals is high at the same time it is lower in nursing departments and out-patient clinics. To provide the accessibility and quality of medical services to people older than able-bodied population the restructuration of medical care is needed to increase the volume of hospital-substituting types of medical care and to organize the service of specialized palliative care primarily for oncological patients.
authors.forename: E S
authors.initials: ES
authors.lastname: Vvedenskaia
authors.forename: L F
authors.initials: LF
authors.lastname: Kobzeva
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D012426:Russia